| Name: | Ancient Roots Acupuncture and Herbal Medicine LLC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Feb 2022 (3 years ago) |
| Identification Number: | 001735513 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 02906, USA |
| Purpose: | ACUPUNCTURE AND TRADITIONAL CHINESE MEDICINE |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700523040 | 2022-05-18 | 2022-05-18 | 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 029065448, US | 20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI, 029065448, US | |||||||||||||
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| Phone | +1 603-557-5237 |
Authorized person
| Name | TAMRA PORTALLA |
| Role | ACUPUNCTURIST |
| Phone | 6035575237 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TAMRA PORTALLA | Agent | 20 BLACKSTONE BLVD 14, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 202453534240 | Annual Report | 2024-05-01 |
| 202331982220 | Annual Report | 2023-03-29 |
| 202209051360 | Articles of Organization | 2022-02-01 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
